Download - Retina Review
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AMD: Neovascular
• Define classic choroidal neovascularization
– Early, ri!ht uniform hy"erfluorescence #$ithin 30
seconds% e&hiitin! lea'a!e in the late frames
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AMD: Neovascular
• Define the t$o ty"es of occult choroidalneovascularization – Fibrovascular PED: early sti""led hy"erfluorescence #$ithin
first minute% e&hiitin! lea'a!e or stainin! in the late frames
– Late leakage of undetermined etiology: late s"ec'ledhy"erfluorescence $ith no corres"ondin! source in the early
frames
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)3 yo c/o needs stron!er readin! !lasses, 20/+0
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AMD: Prevention
• .ummarize results of the ED. .tudy
– eneficial su!rou"s
• ntermediate 4D in oth eyes or advanced 4D
in one eye
– 56year ris' of "ro!ression to advanced 4D
• Placeo 287
• ntio&idants 9inc 207
– -ormulation
• :itamin 500m!• :itamin E +00;
• eta carotene 15m!
• 9inc 80m!
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AMD: Treatment
• 4P. .tudy 6 <hermal laser eneficial for e&trafoveal and =u&tafoveal classic lesions
• <P .tudy 6 PD< eneficial for classic sufoveal lesions
• :P .tudy 6 PD< sli!htly eneficial at 2 years for "urelyoccult sufoveal lesions
• 4> 6 ?ucentis eneficial for minimally classic lesions
• >@* 6 ?ucentis eneficial for "redominantly classiclesions
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+( yo recent distorted vision *.
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OHS
• Descrie the clinical triad of *@.A
– Punched out chorioretinal lesions #histo s"ots%
– Peri"a"illary atro"hy
– horoidal neovascularization
• Bhat is the endemic !eo!ra"hic re!ionC
– 4ississi"i and *hio iver :alley
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50 yo male h/o
"seudo&anthoma
elasticum
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Angioid Streaks
• Bhat are systemic diseases associated
$ith an!ioid strea'sC
– Pseudo&anthoma elasticum
– Ehlers6Danlos syndrome
– Pa!ets disease of one
– .ic'le cell disease
– dio"athic
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50 yo lon! time contact lens $earer
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Pathologic Myoia
• Bhat is the commonly acce"ted definition ased
on a&ial len!th and refractive statusC – &ial len!th 2)mm
– ."herical eFuivalent G 68A00D
• Bhat is the s"ectrum of fundus findin!sC
– ?acFuer crac's – .uretinal hemorrha!e
– -uchs s"ot
– Posterior sta"hyloma
– PE/choroidal atro"hy
– ystoid, "avin!6stone, lattice de!eneration
– etinal thinnin!/holes
– .cleral thinnin!
– >:
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33 yo usiness consultant, distortion *., 20/25
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!S!
• @o$ is the characteristic "atient descriedC
– @ealthy male, 30650 yo, ty"e6 "ersonality
• Bhat is the most common an!io!ra"hic findin!C
– .mall, focal hy"erfluorescent PE lea'
• @o$ freFuently does a Hsmo'estac' occurC
– 107
• Bhat is the rate of s"ontaneous resolution ofsuretinal fluidC
– 806I07
• Bhat is the recurrence rateC
– +06507
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!S!
• Bhat are indications for laser
"hotocoa!ulationC
– Persistence of serous detachment 36+mo
– ecurrence in eyes $ith visual deficit from "riore"isode
– Presence of "ermanent visual deficit in fello$
eye from "rior e"isode
– Develo"ment of chronic si!ns #cystic chan!e inretinaJ $ides"read PE anormalities%
– *ccu"ational need
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"iretinal Mem#rane
• Bhat are the clinical findin!sC
– 4etamor"ho"sia K decreased acuity
– etinal striae
– .uretinal fluid or cystic chan!e
– lmost al$ays associated $ith P:D
• Bhat is the incidence of ilateralityC
– 207
• Bhat "ercenta!e of eyes maintain vision 20/50or etterC
– (57
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$MT
• Bhat are the clinical findin!sC
– 4etamor"ho"sia and decreased vision
– Partial "osterior vitreous detachment
– :itreous traction on the macula $ithsuretinal fluid accumulation or 4E
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55 yo, 20/200
#not from !l&%
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Macular Hole
• Descrie the + sta!es of macular hole
– a foveolar detachment
– full6thic'ness defect G+00µm
– full6thic'ness defect +00µm, no P:D
– : sta!e $ith P:D
• Bhat is the incidence of ilateralityC
– 106207
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(0 yo 5 $' s/" E $ith vit loss, 20/80
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!M"
• n $hat histolo!ic layer does fluid collectC – *uter "le&iform
• Bhat are common causesC – Posto"erative
– ;veitis
– etinal venous occlusive disease
– horoidal neovascularization
– E"iretinal memrane/:4<
– etinitis "i!mentosa
• Bhat is the incidence of clinical 4E follo$in!
e&traca"sular E $ith intact ca"suleC – G17
• Bhat "ercenta!e of cases s"ontaneouslyresolveC
I57